Keith L Komnick, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036074659 Issued in IL

Practice address

581 E Golf Rd
Des Plaines, IL 60016-2349

Phone

(847) 297-2240

Fax

(847) 297-7270

NPI assigned

Jun 28, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

The Center for Sports Orthopaedics SCGroup PAC ID 7618006834, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (8 of 9)

Locations

Networks

• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

• Direct secure messaging: keith.komnick.1@17694.direct.athenahealth.com
• Direct secure messaging: keith.komnick.1@380.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adventist Health Partners, Inc.

  • Multi-Specialty Clinic/Center
  • La Grange, IL
  • NPI 1932650496
  Medicare reassignment Care Compare group NPD
• The Center for Sports Orthopaedics S.C.

  • Orthopaedic Surgery Physician
  • Hoffman Estates, IL
  • NPI 1881756302
  Medicare reassignment Care Compare group NPD
• Dupage Medical Group LTD

  • Multi-Specialty Clinic/Center
  • Downers Grove, IL
  • NPI 1801833983
  Medicare reassignment NPD
• Adventist Health Partners, Inc

  • Hospitalist Physician
  • Bolingbrook, IL
  • NPI 1457516221
  NPD
• Adventist Health Partners,Inc

  • Family Medicine Physician
  • Bloomingdale, IL
  • NPI 1043255888
  NPD
• Dupage Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Glen Ellyn, IL
  • NPI 1760979447
  NPD
• Advanced Pain & Spine Management, S.C.

  • Pain Medicine (Anesthesiology) Physician
  • Arlington Heights, IL
  • NPI 1366947236
  NPD (past)
• American Home Visiting Physicians

  • General Practice Physician
  • Des Plaines, IL
  • NPI 1144525510
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Alexius Medical Center

  • General Acute Care Hospital
  • Hoffman Estates, IL
  • NPI 1376644385
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1013913615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162349",
            "telephone_number": "847-297-2240",
            "fax_number": "847-297-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162349",
            "telephone_number": "847-297-2240",
            "fax_number": "847-297-7270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Carol Stream",
            "state": "IL",
            "postal_code": "601882127",
            "country_code": "US",
            "telephone_number": "630-458-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMNICK",
        "first_name": "KEITH",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036074659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keith.komnick.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "630 E North Ave",
            "city": "Carol Stream",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601882127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Klier, PHARMD
• Amy Judd Knize, MA, LCPC
• Jordan Madeline Kolakowski, MA, NCC
• Jessica Kolash, M.S SLP
• Kaitlin Kolka, MS, CCC-SLP
• Howard Steven Konowitz, MD
• Beata Kozar-Warchalowska, DDS
• Catherine Kozikowski
• Kimberly Koziol, MS CCC-SLP
• Valerian Kravtsov, D.C.

• Orthopaedic Surgery Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.